NPI | 1881866424 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX N1810) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D0065457) |
Enumeration Date | 2008-03-24 |
Last Update Date | 2011-01-20 |